Adenomyosis: Prevalence, Clinical Characteristics and Histopathological
Findings of Hysterectomy among Yemeni Women at
48 Medical Model Hospitals
Nagi A. Al-Haj,
Muna A. Ghoshim,
Adenomyosis, a common non-malignant condition of the uterus is characterized by the presence of
ectopic endometrium with or without hyperplasia of the surrounding myometrium endometrial glands as well
as stromal elements situated at least 2.5 mm below the endomyometrial junction. To study adenomyosis
prevalence among Yemeni women in Sanaa City as the cause of abnormal uterine bleeding in hysterectomy
specimens. Retrospective study was retrieved 73 women consecutive undergoing hysterectomy in a 2 years,
2011-2013 with a histologic diagnosis of adenomyosis with regards to the clinical profile. The prevalence rate
of adenomyosis among Yemeni women was 28.7% while 80% of the patients were seen in the age
group of 31-50 years, menorrhagia 87.5%, dysmenorrhea 81.7%, lower abdominal pain 85.5% beginning later in
reproductive life (mean age 39 years) and 95.4% of the patients were multiparous of the classic presentation.
We concluded the adenomyosis rate of this study was found to be the most common cause of abnormal uterine
bleeding in Yemeni women of perimenopausal age group.